United States Senator Deb Fischer is disappointed Republicans in the House could not agree on a bill to repeal and replace the Affordable Care Act, but she still hopes an agreement can be reached.

Fischer insists the Affordable Care Act isn’t just going to fail, but that it is failing now.

“I just heard one from a young, single woman whose premiums have almost tripled since she has had insurance,” Fischer tells Nebraska reporters during a conference call. “That is not what we were promised.”

Fischer points to the steep rise in health insurance premiums and the failure of health cooperatives set up under the ACA, one of which served Nebraska and Iowa, as signs of collapse.

Fischer says Republicans cannot give up on the issue.

“We need to come together,” Fischer says. “We need to figure out how we are going to be able to have access to affordable health insurance for the people of this country.”

House Speaker Paul Ryan pulled the repeal and replacement bill at the last minute after informing President Donald Trump he didn’t have the votes to pass it. So far, no substitute bill has been proposed.